Gateway Counseling Center

Gateway Counseling Center was paid $3.07M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is H2020, Therapeutic behavioral services, per diem — 100% of everything it billed.

33Billing provider infoGATEWAY COUNSELING CENTER
STAFFORD, VA 22554

33aNPI1891053344assigned 05/02/2012

33bProvider typeEmotionally Disturbed Childrens' Residential Treatment Facility

28Total paid$3.07M

24GClaims1,398

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emotionally Disturbed Childrens' Residential Treatment Facility providers in Virginia

Rank by total paid#3 of 16

Median peer was paid$1.61M

This provider vs. median1.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H2020 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	264	$561K
2019	301	$643K
2020	206	$376K
2021	80	$170K
2022	180	$404K
2023	195	$465K
2024incomplete	172	$454K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2020	Therapeutic behavioral services, per diem	100%	1,398	761	$3.07M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialFITZSIMMONS, KATHLEEN (CAO/CLINICAL DIRECTOR)